What is ‘prior authorization’ for Saxenda (liraglutide) insurance coverage?
Prior authorization is paperwork requested by your insurance carrier to justify the use of Saxenda® (liraglutide). Some insurance plans will require a prior authorization to be completed in order to cover the cost of Saxenda. Your healthcare provider will complete the paperwork. Unfortunately, this is not a guarantee of coverage.
Different insurance plans and providers may have different criteria as to what is needed for prior authorization of Saxenda, which can include:
- That the patient is already taking Saxenda for a period of time
- That the patient has – and follows – a lifestyle & diet plan in addition to taking Saxenda
- That the patient has comorbid conditions to their obesity
Simply getting a prescription for a medication does not mean that it will also automatically be covered by insurance. At Form Health, we always recommend working with reputable doctors that will construct a holistic lifestyle and health improvement plan for you as opposed to just giving you a prescription. In turn, this will also help your case if your insurance plan requests prior authorization paperwork.
Learn more about how Form doctors prescribe Saxenda to help patients achieve their weight loss goals.
Brooke Marsico, PA-C
Brooke Marsico completed her physician assistant training at Midwestern University in 2011. She began her practice in the field of Obesity Medicine at Northwestern Memorial Hospital in Chicago where she practiced from 2016 to 2021. She went on to treat patients living with obesity at Cleveland Clinic from 2021 to 2022 prior to joining the team at Form Health. Brooke is passionate about helping patients living with obesity achieve meaningful weight loss and improve their health. Her practice focuses on individualized behavioral and pharmacological intervention to help patients reach their goals. She is also experienced in managing patients who have a history of bariatric surgery.
Saxenda® is a registered trademark of Novo Nordisk A/S.